Of Sodomy and Cannibalism: Dehumanisation,Embodiment and the Rhetorics of Same‐Sex and Cross‐Species Contagion

This article explores ideas of the ‘human’ in discourses surrounding the AIDS epidemic, from the 1980s to the present. It compares two sequential lines of thought: first, the notion of AIDS as the result of ‘unnatural’ gender behaviours and queer sexualities; and second, the notion of AIDS and other zoonotics (cross‐species diseases) as the result of non‐western dietary practices and social mores. In the first case, the early years of the AIDS crisis are traced through the languages of sexual perversity utilised by the popular press and the Christian right. In the second case, the later years of the epidemic are traced, once the ‘roots’ of the virus became tied to Africa, and carriers became bestialised in narratives that located HIV as a consequence of unnatural, or inhuman, interactions with the animal world. The article argues that we have witnessed a paradigm shift in the didactics of the epidemic, from a narrative of sexual impropriety to one that also includes a narrative of dietary impropriety, each of which consistently relies upon a clear dichotomy between the human and the inhuman.     

PLAGUE AND POWER RELATIONS

Public policy and economic practice, quintessential expressions of institutional cognition, create an opportunity structure constituting a tunable, highly patterned,‘non‐white noise’ in a generalized epidemiological stochastic resonance that can efficiently amplify unhealthy living and working conditions, particularly within highly concentrated, marginalized urban populations, to evoke infectious disease outbreaks. This is especially true for the infections carried by socially generated ‘risk behaviours’ which are usually adaptations to histories of resource deprivation or marginalization. A number of local epidemics originating in such ecological keystone communities may subsequently undergo a policy and structure‐driven phase transition to become a coherent pandemic, a spreading plague which can entrain more affluent populations into the disease ecology of marginalization. We use this approach to contrast the ecological resilience of apartheid and egalitarian social systems, and apply these perspectives to the forthcoming social and geographical diffusion of multiple drug resistant (MDR) HIV from present AIDS epicentres to the rest of the United States.     

Warrior Women,the Holy Spirit and HIV/AIDS in Rural Papua New Guinea

ABSTRACT This article analyses a group of Gogodala Christian women in the Western Province of Papua New Guinea who are referred to as ‘Warrior women’ and who pray, sing and call upon the Holy Spirit to cleanse their own bodies and ‘turn their eyes’, so that they are able to see those who threaten the health and well‐being of the wider community. These women have focused primarily on bringing male practitioners of magic — iwai dala — shadowy and powerful men who operate covertly and away from the gaze of others, out into the open. Whilst this has been happening for many years, the spread of HIV and AIDS into the area, fuelled by what many in the area believe is the rise of unrestrained female and male sexuality and the waning of Christian practice and principles, has meant that those perceived to bring harm to the community through their sexual behaviour have become recent targets for Warrior women. HIV/AIDS, referred to in Gogodala as melesene bininapa gite tila gi — the ‘sickness without medicine’ — is understood as a hidden sickness, one that makes its way through the community without trace until people become visibly ill. Warrior women seek to make both AIDS and those who, through their behaviour, encourage or enable its spread more visible. In the process, however, a small number of them are overcome by the Holy Spirit, so much so that they become daeledaelenapa — mad ‐ their behaviour increasingly characterised by childishness and uncontrolled sexuality.     

Languages of Stateness in South Lebanon's Palestinian Gatherings: The PLO's Popular Committees as Twilight Institutions

Public authority beyond the state has often been seen as isolated from the state and/or constituting a threat to the state. Recent scholarship, however, has started to conceptualize ‘state’ and ‘non‐state’ forms of public authority as closely connected and interdependent. This article contributes to this theoretical shift by means of a qualitative case study of public authority in Palestinian refugee camps in South Lebanon. Lebanon's Palestinian camps are routinely characterized as ‘states‐within‐the‐state’, undermining the sovereignty of the Lebanese state. Yet, as this article demonstrates, both a generic state idea and the specific Lebanese state system constitute crucial benchmarks for the Popular Committees that govern informal Palestinian settlements. The article therefore conceptualizes the Popular Committees as ‘twilight institutions’ and explores the ‘languages of stateness’ that they adopt both communicatively, vis‐à‐vis Palestinian competitors, and coordinatively, vis‐à‐vis Lebanese counterparts. This reveals that the Popular Committees emulate the Lebanese state institutions they come into contact with, to bolster their own authority. They do this partly to be viable interlocutors for Lebanese state institutions; this suggests that the Popular Committees’ non‐state authority might validate rather than challenge state authority in Lebanon, and that state and non‐state authority can be mutually constitutive.     

Sustainable Graduation from Social Protection Programmes

Efforts to reduce extreme poverty by assisting poor people to cross income or asset thresholds are receiving increasing attention in social protection programming. Livelihood‐promoting interventions aim to reduce vulnerability, so that participants can manage moderate risk and ‘graduate’ from social protection provision. This article elaborates the theory of change underpinning the notion of graduation and explores the range of enabling and constraining factors that facilitate or undermine this change process, drawing on case studies from Bangladesh, Ethiopia and Rwanda. The authors distinguish ‘threshold’ graduation from ‘sustainable’ graduation and argue that multiple factors operating beyond the household level — such as market conditions, community investment and scale effects — have significant implications for the graduation potential of social protection programmes.     

The Response to HIV/AIDS and the Construction of National Legitimacy: Lessons from Uganda

Uganda faces continual challenges as a low‐income nation reliant on international donors and non‐state actors. It was also one of the first countries to face a population‐wide HIV epidemic, a disease that can strain state capacity to its limits. One would expect that such a combination would weaken the governance structures in a developing country; yet, if anything, the Ugandan state has emerged from its HIV crisis with its legitimacy bolstered. This article reviews the Ugandan response to HIV/AIDS, analysing the ways in which the epidemic has provided a new arena for the Ugandan state to engage with international actors.     

Research on the post‐communist world: An overview and an Agenda

The collapse of communism has left many specialists on the former communist world depressed and pessimistic about their own future role. This article starts by identifying five major reasons for depression—the problem of the ‘fellow‐traveller'; ‘redundant’ research; unfamiliar instability; the marginalised ‘go‐between'; non‐prediction. Counterarguments to—alternative perceptions on—each of these is then provided. In the concluding section, I propose a nine‐point agenda for research, and argue that, in some ways, the outlook has never been more challenging or exciting.     

Epilogue: Homegrown in PNG — Rural Responses to HIV and AIDS

ABSTRACT A three‐years‐long, multi‐sited, multi‐method study conducted throughout Papua New Guinea by the Institute of Medical Research revealed a staggering prevalence of sexually transmitted disease (STD) that threatens an already fragile political‐economy and health services delivery system. Logistics, methodological complexities, and political and especially religious sensitivities hampered conduct of such research. Extremely little HIV social research has been allowed to inform interventions or serosurveillance protocols. Well‐ intended but ill‐conceived international initiatives have promoted a normative AIDS paradigm that misconstrues HIV transmission risk, incites greater fear, increases stigma, and promotes anti‐condom rhetoric. This collection ‘HIV/AIDS in Rural Papua New Guinea’ presents a sustained series of ethnographically based accounts of rural responses. In this epilogue I situate the importance of those responses in a discussion of the great divide between the lived realities of HIV infection and AIDS related suffering on the one hand, and the discursive practices and policies of media, public health, international donors and NGOs on the other.     

“Dissemination as Intervention”: Building Local HIV Competence through the Report Back of Research Findings to a South African Rural Community

Abstract: What ethical obligations do researchers have to research informants in marginalised communities in serious distress? Our “dissemination as intervention” exercise reported research findings back to a South African rural community—using a dialogical approach which sought to strengthen participants’ confidence and ability to respond more effectively to HIV/AIDS. Nine workshops were conducted with 121 people. Workshops provided opportunities for participants to start developing critical understandings of the possibilities and limitations of their responses to HIV/AIDS, understandings which constitute a necessary (though obviously not sufficient) condition for further action. Workshops alerted participants to the valuable role played by local HIV/AIDS volunteers, facilitating reflection on how local people might better support the volunteers. These discussions served as the impetus for the establishment of a three‐year community‐led intervention to further these goals.     

Population geography and HIV/AIDS: The challenge of a ‘wholly exceptional disease’

This paper justifies and elaborates Huw Jones’ identification of HIV/AIDS as a ‘wholly exceptional disease’. It identifies the global pattern of the disease and how geographers have dealt with it, and considers its exceptional character in respect of its medical, demographic and behavioural dimensions. Implications of these dimensions are integrated into discussions of geographers’ use of two major conceptualisations in population analysis: the demographic transition model and disease diffusion models. It is argued that HIV/AIDS is wholly exceptional in that its essentially behavioural character — both in terms of spread and control — must strengthen the case for more explicit behavioural perspectives in population geography.     

NATO's evolving purposes and the next Strategic Concept

Is there a conflict between the Alliance's original and enduring purpose of collective defence and its post‐Cold War crisis management functions? This is an ill‐framed debate, because the home base must be secure in order to support expeditionary power projection. The allies have, moreover, moved away from a static, reactive, and territorial concept of collective defence towards a more ‘proactive’ and ‘anticipatory’ approach. Some experts have even referred to a ‘deterritorialization’ of collective defence. Other issues also illustrate the changing dimensions of collective defence—missile defence, cyber warfare, space operations, the risk of state‐sponsored terrorism involving weapons of mass destruction, political–military dynamics in the Middle East and the Asia–Pacific region, and the risk of a non‐Article 5 operation becoming a collective defence contingency. Despite disagreements on how to pursue shared goals, the allies may yet demonstrate that they have the vision and political will to meet the new challenges. The question of the Alliance's ‘level of ambition’ in capabilities is inseparable from that of its agreed purposes and burden‐sharing to achieve them.     

Privileging prevention,gendering responsibility: an analysis of the Ghanaian campaign against HIV/AIDS

This article focuses on the discourses around HIV/AIDS in the national Ghanaian ‘Stop AIDS Love Life!’ public health campaign, within non-governmental HIV/AIDS publications, and the Ghanaian national print media. I have used critical discourse analysis to interpret and deconstruct a range of these social texts collected between June and September of 2001 and 2003 in and around Greater Accra, Ghana. I argue, firstly, that these discourses are shaped by an international politics of funding for HIV/AIDS that privileges prevention through behaviour change over treatment action under the premise that prevention is a more cost-effective option for the Global South. I critique this stance, highlighting the emerging possibilities for integrated prevention–treatment efforts in resource-poor settings such as Ghana. Secondly, I argue that the discourses around HIV/AIDS presented in prevention campaign materials powerfully construct normative and gendered subjectivities with assigned roles and responsibilities. The fight against HIV/AIDS is constructed as a national project in which an idealized, and often very young, female citizen is positioned as educator, volunteer, carer and protector of herself and society. This discursive coding of responsibility places the many burdens of HIV upon some of the most vulnerable in society, ignoring the structural constraints of gender, generational and economic inequality. I conclude my paper by arguing that efforts to reduce transmission rates, stigma, and the burden of care for those living with HIV/AIDS in Ghana must integrate both preventative efforts and treatment action. Where prevention campaigns are utilized I suggest that these must recognize the limitations of behaviour change initiatives that primarily target women and acknowledge the gendered constraints faced by those very subjects identified as responsible for the protection and education of the nation.     

Self‐determination and a shattered star: Statehood and national identity in the Somali Horn of Africa

This article explores the articulation—in different forms, at different periods, and by different actors—of ‘national self‐determination’ in Somalia and across the Somali‐speaking regions of the Horn of Africa. It explores how this concept can be understood in the context of protracted political fragmentation in Somalia—considering unresolved debates over the ideological foundations of state reconstruction, disagreements about the suitability of federalism, aspirations for the recognition of an independent Republic of Somaliland, and the distinctive trajectory of the Somali Regional State in Ethiopia. Taking a comparative, cross‐border and wide‐angled historical approach, the article argues that ideas of an ethno‐linguistically, culturally and religiously defined Somali ‘nation’ continue to coexist (and be reproduced, updated and used) within an environment of extreme political fragmentation and across multiple ‘state’ boundaries. This argument is made through comparative analysis of contemporary examples of the performance of Somali state and nationalist identities within and beyond the region and the distinctive transnational Somali‐language media environment within which these ideas circulate and compete.     

AIDS,speech and silence in South Africa (Respond to this article at http://www.therai.org.uk/at/debate)

Confessional technologies are frequently deployed to deal with the HIV/AIDS pandemic. In South Africa, these are most eagerly embraced by activists of the urban‐based Treatment Action Campaign, who use speech such as public confession and testimony to overcome pathos. However, fieldwork in the Bushbuckridge area of the South African lowveld shows wide resistance to direct speech about AIDS. In this article I explore reasons for such resistance. In addition to the stigma of labelling and poor treatment options, I argue that villagers feared the innate power of words such as ‘HIV’ and ‘AIDS’ to crystalize sickness, and bring fears of death into consciousness. In conclusion, I suggest that rather than insist upon confession, health providers could use speech and silence as alternative modes of dealing with AIDS.     

Telling Stories to Hear Autoethnography: Researching women's lives in northern Pakistan

Stories about sewing machines are not usually the stuff of geographies, although stories and narratives offer potential as a geographic method. In this article, I examine the ways that story telling is a reflexive representational strategy, becoming a text for analysis that can be complemented by field research methods. I examine a story about sewing machines to suggest how it can be an analytical tool for postcolonial research, conveying what may be called the ‘real’ effects of colonialism, imperialism, and globalization in the lives of the women I researched in northern Pakistan. This method of representation makes more transparent the extent of women's participation in constructing ‘my’ narrative and research.     

Ten years on: Obama's war on terrorism in rhetoric and practice

Ten years after the terrorist attacks on New York and Washington DC on September 11, 2001, the United States remains embroiled in a long‐term struggle with what George W. Bush termed the existential threat of international terrorism. On the campaign trail, his successor as US President, Barack Obama, promised to reboot the ‘war on terror’. He claimed that his new administration would step back from the rhetoric and much of the Bush administration policy, conducting a counterterrorism campaign that would be more morally acceptable, more focused and more effective—smarter, better, nimbler, stronger. This article demonstrates, however, that those expecting wholesale changes to US counterterrorism policy misread Obama's intentions. It argues that Obama always intended to deepen Bush's commitment to counterterrorism while at the same time ending the ‘distraction’ of the Iraq War. Rather than being trapped by Bush's institutionalized construction of a global war on terror, the continuities in counterterrorism can be explained by Obama's shared conception of the imperative of reducing the terrorist threat to the US. The article assesses whether Obama has pursued a more effective counterterrorism policy than his predecessor and explores how his rhetoric has been reconstituted as the actions of his policy have unfolded. By addressing his policies toward Afghanistan and Pakistan, Guantánamo Bay and torture, the uses of unmanned drone attacks and domestic wire‐tapping, this article argues that Obama's ‘war’ against terrorism is not only in keeping with the assumptions and priorities of the last ten years but also that it is just as problematic as that of his predecessor.     

The state of war

This article frames the discussion of the ‘state of war’ in this issue of International Affairs. Beginning by noting the continued recurrence of ‘traditional’ modes of war along side so‐called ‘new wars’ and calling to aid Rousseau's brutal satire of 1756, The state of war, the article offers a discussion of three ‘responses’ to the reality of war in international relations—the heroic response, the realpolitik response and the compassionate response—and argues that a synthesis between them characterizes the general approach to war in any historical period. It then considers how the contemporary synthesis might be viewed and offers thoughts on the articles in this issue in the light of this suggestion.     

Analysing international nuclear order

William Walker's article, ‘Nuclear enlightenment and counter‐enlightenment’, raises fundamental questions about the history of efforts to construct order in international politics in relation to nuclear arms and weapons‐related capabilities. However, Walker's ‘enlightenment’ and ‘counter‐enlightenment’ tropes are clumsy and unsatisfactory tools for analysing contemporary policies concerning nuclear deterrence, non‐proliferation and disarmament. Walker holds that in the 1960s and 1970s most of the governments of the world came together in pursuit of ‘a grand enlightenment project’. This thesis cannot withstand empirical scrutiny with regard to its three main themes—a supposed US‐Soviet consensus on doctrines of stabilizing nuclear deterrence through mutual vulnerability, a notion that the NPT derived from ‘concerted efforts to construct an international nuclear order meriting that title’, and the view that the NPT embodied a commitment to achieve nuclear disarmament. Walker's criticisms of US nuclear policies since the late 1990s are in several cases overstated or ill‐founded. Walker also exaggerates the potential influence of the United States over the policies of other countries. It is partly for this reason that the challenges at hand—both analytical and practical—are more complicated and dif cult than his article implies. His work nonetheless has the great merit of raising fundamental questions about international political order.